The registered nurse is discussing care of an infant diagnosed with a patent ductus arteriosus (PDA) with a nursing student. The registered nurse determines that the nursing student needs further teaching regarding a PDA when the student states that which circulatory change is a characteristic of this disorder?

This shunting allows oxygenated and unoxygenated blood to mix.

Blood is shunted to the right side of the heart.

This shunting results in increased pulmonary blood flow.

Blood is shunted to the left side of the heart.

Answer and Explanation

The Correct Answer is D

A. "This shunting allows oxygenated and unoxygenated blood to mix."
Explanation: This statement is correct. In PDA, the shunting of blood between the aorta and pulmonary artery allows oxygenated and unoxygenated blood to mix, leading to decreased oxygen saturation in the systemic circulation.
B. "Blood is shunted to the right side of the heart."
Explanation: This statement is correct. In PDA, blood is shunted from the left side of the heart (aorta) to the right side of the heart (pulmonary artery).
C. "This shunting results in increased pulmonary blood flow."
Explanation: This statement is correct. PDA leads to increased pulmonary blood flow as a result of the shunting of blood from the aorta to the pulmonary artery.
D. "Blood is shunted to the left side of the heart."
Explanation:
A patent ductus arteriosus (PDA) is a congenital heart defect where the ductus arteriosus, a fetal blood vessel that normally closes shortly after birth, remains open. In PDA, blood is shunted from the aorta (left side of the heart) to the pulmonary artery (right side of the heart), resulting in increased pulmonary blood flow. Therefore, the correct statement is that "Blood is shunted to the right side of the heart."

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Free Nursing Study Resources

Correct Answer is ["A","C","E"]

Explanation

A. "The manifestations are lessened by taking the prednisone every other day instead of daily."
Correct Answer: Cushingoid characteristics can be associated with long-term corticosteroid use. Taking prednisone every other day, rather than daily, can help minimize these manifestations while still providing the needed therapeutic effect.
B. "You need to be sure to talk to the doctor about the Cushingoid characteristics."
Incorrect: While it is important for the parents to communicate with the doctor, this statement is less therapeutic than option 3, which opens up a more collaborative and supportive conversation.
C. "Which manifestations of this condition do you find most troublesome?"
Correct Answer: This open-ended question allows the parents to express their concerns and frustrations. It facilitates communication between the parents and healthcare provider to address specific issues they find most troublesome.
D. "I am sure it will be all right; they hardly look unusual."
Incorrect: Downplaying the parents' concerns may not be the most therapeutic approach. Acknowledging their concerns and providing information about the reversible nature of cushingoid characteristics would be more helpful.
E. "The cushingoid appearance will gradually disappear once the corticosteroids are tapered and discontinued."
Correct Answer: Cushingoid characteristics are reversible, and they tend to improve as the dose of corticosteroids is tapered and eventually discontinued.

Correct Answer is ["260"]

Explanation

To calculate the total fluid intake, add the volumes of each item consumed:

Juice: ½ cup

1 cup = 240 mL

½ cup = 240 mL / 2 = 120 mL

Gelatin: 3 oz

1 oz ≈ 30 mL

3 oz = 3 * 30 mL = 90 mL

Ice pop: 1 oz

1 oz ≈ 30 mL

1 oz = 30 mL

Ginger ale: 20 mL

Now, add these values:

120 mL (juice) + 90 mL (gelatin) + 30 mL (ice pop) + 20 mL (ginger ale) = 260 mL

Therefore, the nurse should record 260 mL as the child's fluid intake.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["A","C","E"]

Explanation

A nurse is caring for a child who is on a clear liquid diet. At lunch, the child consumed ½ cup of juice, 3 oz gelatin, 1 oz of an ice pop, and 20 mL ginger ale. How many mL should the nurse record as the child's fluid intake?

Correct Answer is ["260"]

Explanation

The parent of a child with mumps calls the health care clinic to tell the nurse that the child has been lethargic and vomiting. What instruction would the nurse give to the parent?

The nurse is caring for a newborn with a suspected diagnosis of imperforate anus. The nurse monitors the infant, knowing that which is a clinical manifestation associated with this disorder?

A nurse is preparing to administer acetaminophen 10 mg/kg/dose to a child who weighs 28 lb. The amount available is acetaminophen 120 mg/5 mL. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

A pediatrician has prescribed oxygen as needed for an infant with heart failure. Which situation would likely increase the oxygen demand. requiring the nurse to administer oxygen to the infant?

An infant with a diagnosis of hydrocephalus is scheduled for surgery. Which is the priority nursing intervention in the preoperative period?

The nurse performs an assessment of a child with pertussis (whooping cough). Which finding would the nurse identify as indicative of a potential complication?

The nurse has provided discharge instructions to the parents of a 2-year-old child who underwent an orchiopexy to correct cryptorchidism, which statement by the parents indicates a need for further instruction?

A nurse reports an incident of suspected child abuse. One of the parents of the child becomes upset and demands to know the reason for the nurse's action. Which of the following responses by the nurse is appropriate?